Hemodynamic Effects of Portal Triad Clamping in Humans

Delva, E.; Camus, Y.; Paugam, Charles; Parc, R; Huguet, C; Lienhart, A.

doi:10.1213/00000539-198709000-00010

Cited by 63 publications

(17 citation statements)

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“…In patients undergoing conventional liver resection, a decrease in CO was accompanied by an increase in SVR1 during the perfor mance of Pringle maneuver [16]. This was also demonstrated in our open surgery group.…”

Section: Hemodynamics During Laparoscopic Liver Resection In the Pigsupporting

confidence: 83%

Effects of the Pringle Maneuver on Hemodynamics during Laparoscopic Liver Resection in the Pig

Haberstroh

Ahrens²,

Munzar³

et al. 1996

Eur Surg Res

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The Pringle maneuver (PM) is recognized in conventional liver surgery as a method of controlling bleeding. To determine the hemodynamic effects of the PM during pneumoperitoneum (PP) for laparoscopic liver resection, we measured hemodynamic and blood gas changes in 7 healthy pigs. All variables were recorded 5 min before and 10 and 30 min after employing PP or PM and 10 min after discontinuation of PM. After the induction of PP, cardiac index and arterial carbon dioxide tension significantly increased, accompanied by a significant decrease in pH. After the beginning of PM, cardiac index and mean arterial and central venous presures decreased significantly, whereas the heart rate rose markedly. After discontinuation of the PM, the systemic vascular resistance index decreased, and the heart rate remained elevated. These results demonstrate severe hemodynamic deterioration with PP and a subsequent PM. The latter should, therefore, be considered only as a last resort for the control of bleeding during laparoscopic liver surgery.

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Section: Hemodynamics During Laparoscopic Liver Resection In the Pigsupporting

confidence: 83%

Effects of the Pringle Maneuver on Hemodynamics during Laparoscopic Liver Resection in the Pig

Haberstroh

Ahrens²,

Munzar³

et al. 1996

Eur Surg Res

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“…A portocaval decompression was used to reduce intestinal injury. In contrast to humans, who tolerate portal occlusion well, intestinal congestion during portal occlusion without decompression induces high early mortality in rats [16,17]. In the applied model, intestinal injury and systemic reperfusion syndrome that might influence the hepatic pathophysiology were reduced by the portosystemic shunt.…”

Section: Discussionmentioning

confidence: 98%

Inhibition of Angiotensin-Converting Enzyme Reduces Rat Liver Reperfusion Injury Via Bradykinin-2-Receptor

Freise

Palmes

Spiegel

2006

Journal of Surgical Research

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“…Therefore, we defi ned 30 min as the mean total ischemia time in our study. 6,[18][19][20] Previous studies have suggested that the colon is a major source of BT. Van Minnen et al studied the effects of subtotal colectomy on BT during experimental acute pancreatitis and found that subtotal colectomy induces small bowel bacterial overgrowth, which is associated with increased BT to the pancreas.…”

Section: Discussionmentioning

confidence: 99%

Mechanical intestinal cleansing and antibiotic prophylaxis for preventing bacterial translocation during the pringle maneuver in rabbits

et al. 2011

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Hemodynamic Effects of Portal Triad Clamping in Humans

Cited by 63 publications

References 0 publications

Effects of the Pringle Maneuver on Hemodynamics during Laparoscopic Liver Resection in the Pig

Effects of the Pringle Maneuver on Hemodynamics during Laparoscopic Liver Resection in the Pig

Inhibition of Angiotensin-Converting Enzyme Reduces Rat Liver Reperfusion Injury Via Bradykinin-2-Receptor

Mechanical intestinal cleansing and antibiotic prophylaxis for preventing bacterial translocation during the pringle maneuver in rabbits

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